Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-08-22-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211775 DEA: 024E6504 EFIS: 0212000012 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-R52.5/88.4 |
| Award Date | 07/10/2017 |
| Closeout Date | 01/05/2021 |
| Work Description | WIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL |
| Location Description | SISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/23/2017) |
Sample Information
| Sample Taken Date | 08/22/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Control | A brief description of the sample | #6 1'-8" diameter flash welded hoops |
| The quantity of what the sample constitutes | 132 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 9001269 |
| Hoop Manufacturer Lot Number(s) | 2 of 2 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 6 |
| Diameter of Hoop | 1'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Steel CA |
| Welding Company | RKR Steel Welding | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||